EP3210581B1 - Foot bandage for compression therapy of lymphedema - Google Patents

Foot bandage for compression therapy of lymphedema Download PDF

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Publication number
EP3210581B1
EP3210581B1 EP17156392.7A EP17156392A EP3210581B1 EP 3210581 B1 EP3210581 B1 EP 3210581B1 EP 17156392 A EP17156392 A EP 17156392A EP 3210581 B1 EP3210581 B1 EP 3210581B1
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EP
European Patent Office
Prior art keywords
section
foot
foot bandage
strap
distal
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EP17156392.7A
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German (de)
French (fr)
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EP3210581A1 (en
Inventor
Uwe Schettler
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Julius Zorn GmbH
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Julius Zorn GmbH
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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/064—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings for feet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/064—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings for feet
    • A61F13/065—Looped bandages around the forefoot
    • A61F13/01038—
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/064—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings for feet
    • A61F13/066—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings for feet for the ankle
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F13/06—Bandages or dressings; Absorbent pads specially adapted for feet or legs; Corn-pads; Corn-rings
    • A61F13/08—Elastic stockings; for contracting aneurisms
    • A61F13/085—Openable readjustable
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F13/00—Bandages or dressings; Absorbent pads
    • A61F2013/00089—Wound bandages
    • A61F2013/0028—Wound bandages applying of mechanical pressure; passive massage

Definitions

  • the invention relates to a foot bandage for compression therapy of lymphedema according to the preamble of claim 1.
  • a foot bandage for compression therapy of lymphedema is known.
  • This includes an inner tubular or sock-shaped part made of an elastic material (cotton-lycra mixture) and three outer bands made of an elastic material.
  • the tubular or sock-shaped part has a sole section and one-piece laterally adjoining side sections which surround the midfoot in a tubular manner when the bandage is applied.
  • two of the three elastic bands are wrapped around the back of the foot and fixed there under tension using fasteners.
  • the third band is wrapped around the distal lower leg area proximal to the foot and is also fastened there under tension by means of fastening means.
  • lymphedema fluid accumulations in the intercellular space, which are caused by mechanical insufficiency of the lymphatic system of the human or animal body
  • lymphedema fluid accumulations in the intercellular space, which are caused by mechanical insufficiency of the lymphatic system of the human or animal body
  • the foot bandage known from the prior art for compression therapy of lymphedema has the disadvantage that the arrangement of the bands on the tubular or sock-shaped part is fixed. It is therefore not possible to adapt the foot support to the anatomy of a patient's foot.
  • the invention is therefore based on the object of developing a generic foot bandage such that an individual adaptation to the anatomy of the foot of a patient is made possible.
  • the foot bandage according to the invention comprises - like the foot bandage of the prior art described above - a sole section and two side sections adjoining the side of the sole section as well as a distal tab section made of an elastic material with at least one pull tab which is wrapped around the back of the foot when the bandage is applied and on one the side portions are attached to compress the foot.
  • the distal tab section comprises at least one pull tab, which - as in the known foot bandage - can also be designed as an elastic band, with fastening means being arranged at a free end of the pull tab or band with which the pull tab or the band is under tension can be attached in particular to a side portion.
  • the foot bandage according to the invention comprises a proximal compression band made of an elastic material, which has first fastening means and can be detachably fastened to the side sections of the foot bandage.
  • the proximal compression band is detachably fastened to the side sections in an area above the heel by means of the first fastening means.
  • the proximal compression band has two for fastening the proximal compression band under tension to a distal lower leg section Fasteners. These are expediently arranged on at least one end section of the proximal compression band. To exert a compression pressure, the proximal compression band is wrapped around the distal lower leg section when the foot bandage is applied, and is fixed there under stretching by means of the second fastening means. In this case, one end section of the proximal compression band is expediently placed over the other end section of the compression band and fastened to the outside thereof by means of the second fastening means.
  • the fasteners of the pull tabs of the distal tab section and the first and second fasteners of the proximal compression band are expediently Velcro fasteners.
  • the hook parts of the Velcro fasteners are preferably detachably attached to end sections of the respective pull tabs or bands. This makes it possible to use the foot support for both a left and a right foot.
  • each side section of the foot bandage according to the invention has a distal tab section, each tab section having at least one pull tab or a band. This enables the foot bandage to be used for both a right and a left foot.
  • Each tab section preferably has a first and at least a second pull tab.
  • the pull tabs of each tab section are expediently made of the same elastic material as the proximal compression band.
  • the side sections of the sole section are also preferably made of the same material, which is preferably an elastic textile material with a maximum stretch in the range from 15 to 50% of the unstretched length.
  • the textile material can be, for example, a textile fabric made of polyamide and elastane, in particular with 87% polyamide and 13% elastane, based on the weight of the textile fabric.
  • a distal tab section has several pull tabs
  • adjacent pull tabs of a tab section are expediently separated from one another by an incision in the respective tab section. This makes it possible to fasten the pull tabs of a tab section at an angle to one another on the opposite tab section when the foot bandage is put on. This also allows the foot support to be adapted to the patient's anatomy.
  • each pull tab of one of the two distal tab sections expediently has a fastening means with which the pull tab can be detachably attached to the opposite side section or its tab section.
  • the fastening means can be designed, for example, as a hook part of a Velcro fastener and can be removably arranged on the pull tabs of one of the two tab sections. This makes it possible to remove the hook parts of the Velcro fastener from the pull tabs of the one tab section and to fasten them to the pull tabs of the other tab section. This means that the foot bandage can be used for both a right and a left foot.
  • the two side sections and the sole section of the foot bandage are formed by separate parts which are fastened to one another, in particular sewn.
  • the side sections are connected to one another along a vertical seam in the area of the heel, the vertical seam coming to lie in the area of the Achilles tendon when the foot bandage is applied.
  • Each side section is also connected, in particular sewn, to the sole section along a horizontal seam.
  • each side section has a proximal and a distal edge, which are expediently at least essentially straight in each case.
  • a tab section is arranged between the proximal edge and the distal edge, which advantageously has two or more pull tabs or bands.
  • the extensions of the proximal and distal edges of a side section preferably meet at an angle that is between 40 ° and 50 ° and in particular 45 °.
  • padding is expediently incorporated in the sole section.
  • the padding can in particular be sewn onto the outside of the sole section.
  • the foot bandage shown comprises a sole section 1 and side sections 2, 3 adjoining the sole section 1 laterally.
  • Each side section 2, 3 is expediently connected, in particular sewn, to the sole section 1 along a horizontal seam 11.
  • the two side sections 2, 3 are connected to one another in a region 2a, 3a above the heel by a vertical seam 10.
  • the vertical seam 10 runs in the vertical direction above the heel in the area of the patient's Achilles tendon.
  • the foot bandage has a recess 13 in the heel area.
  • Padding is preferably incorporated in the sole section 1 in order to increase the wearing comfort.
  • the padding can, for example, be sewn onto an outside of the sole section 1.
  • Each side section 2, 3 has a proximal edge 2b, 3b and a distal edge 2c, 3c.
  • a tab section 4, 5 is arranged between the proximal edge 2b, 3b and the distal edge 2c, 3c.
  • the extensions of the proximal edge 2b, 3b and the distal edge 2c, 3c meet at an angle between 40 ° and 50 ° and preferably at a 45 ° angle.
  • the sole section 1, the two side sections 2, 3 and each distal tab section 4, 5 are expediently made of an elastic material, for example an elastic short-stretch textile material.
  • the elastic material expediently has a maximum stretch range between 15% and 50% of the unstretched state.
  • the elastic material can be, for example, a textile fabric made of polyamide and elastane, for example with 87% polyamide and 13% elastane, based on the weight of the Textile fabric, act.
  • the maximum elongation of the elastic material is preferably in the range from 15% to 50% of the unstretched length and particularly preferably either between 15% and 20% or between 25% and 35%.
  • each distal tab section 4, 5 comprises two pull tabs 4a, 4b and 5a, 5b.
  • the pull tabs 4a, 4b and 5a, 5b of a tab section 4, 5 are each separated from one another by an incision 12 in the respective tab section 4, 5.
  • fastening means 6 are arranged at least on one of the two distal tab sections 4, 5. These fasteners 6 are expediently Velcro fasteners.
  • the fastening means 6 are each removably arranged on a free end of the two pull tabs 5a, 5b of the one tab section 5.
  • the part of the foot bandage composed of the sole section 1 and the side sections 2 and 3 with the distal tab sections 4, 5 can be fastened to the foot of a patient by means of the fastening means 6 in such a way that this part of the foot bandage exerts a compression pressure on the foot .
  • the compression pressure exerted on the foot when the foot bandage is applied is - depending on the set stretch - expediently in the range between 8 and over 40 mmHg and can be set to compression values up to 60 mmHg.
  • the elastic material is stretched by manual pull on the distal tab sections 4, 5 and is fixed by fastening the fastening means 6.
  • the distal tab sections 4, 5 with the pull tabs 4a, 5b and 5a, 5b arranged thereon are wrapped around the back of the foot and the distal tab section 5, on the pull tabs 5a, 5b of which the fastening means 6 are arranged, is pulled under tension by means of the fastening means 6 attached to the opposite side section 2.
  • the application of the foot bandage to a foot is described below with reference to FIG Figure 2 explained in more detail.
  • the foot bandage according to the invention further comprises a removable proximal compression band 7.
  • This compression band 7 is shown in FIG Figure 1 in the open state and in the representation of the Figure 1b shown in the closed state.
  • the proximal compression band 7 is removably attached to the side sections 2, 3 when the foot bandage is applied.
  • the proximal compression band 7 is also formed from an elastic material, expediently from the same elastic material as the sole section and the two side sections with the tab sections.
  • the proximal compression band 7 has a first fastening means 8.
  • the first fastening means 8 are expediently formed by a hook part of a Velcro fastener, which fastens to an inner side of the compression band 7 at a central point, in particular is sewn on.
  • the first fastening means 8 is shown in FIG Figure 1a recognizable.
  • the proximal compression band 7 is fastened in the region 2a, 3a above the heel on the outside of the side sections 2, 3 by means of the first fastening means 8.
  • the proximal compression band 7 is wrapped around a lower leg section of the patient and fastened there by means of a second fastening means 9 while stretching the proximal compression band 7.
  • the proximal compression band 7 has a first end section 7a and a second end section 7b, the second fastening means 9 being provided at least on one of the two end sections 7a.
  • the second fastening means 9 is in turn expediently a Velcro fastener and in particular a hook part of a Velcro fastener which is detachably fastened to the end section 7a.
  • FIG Figure 2 the application of the foot bandage to a patient's foot is explained.
  • the part of the foot bandage consisting of the sole section 1 and the two side sections 2 and 3 with the distal tab sections 4, 5 is first placed on the patient's foot, as in FIG Figure 2a shown, wherein the sole section 1 comes to rest in the area of the sole of the foot and the two side sections 2, 3 with the distal tab sections 4, 5 arranged thereon are wound around the back of the foot.
  • the vertical seam 10 by means of which the two side sections 2, 3 are connected to one another, comes to lie in the region of the Achilles tendon and the vertical seam 10 runs essentially in the vertical direction.
  • the recess 13 lies in the area of the patient's heel.
  • the fastening means 6 are Velcro fasteners, the hook parts of which are attached to a section on the outside of the free end of the pull tabs 5a, 5b. Another section of the fastening means 6 remains free so that it can be attached to the outside of the opposite side section 2.
  • first a first pull tab 5b and then the second pull tab 5a of the one distal tab section 5 are fastened to the outside of the opposite side section 2 by means of the fastening means 6, as in FIGS Figures 2c, 2d and 2e shown.
  • a pull is exerted on the tab section 5 via the pull tabs 5a, 5b and is transferred to the side section 3 and the sole section 1.
  • the proximal compression band 7 is then fastened in the region of the patient's lower leg.
  • the inside of the proximal compression band 7 is first attached to the outside of the side sections 2, 3 by means of the first fastening means 8.
  • the attachment takes place in the area 2a, 3a of the side sections 2, 3, which lies above the heel.
  • the fastening of the proximal compression band 7 to the side sections 2, 3 via the first fastening means 8 is shown in FIG Figure 2f shown.
  • the exact position of the proximal compression band 7 can be adapted accordingly to the individual requirements of compression therapy, the proximal compression band 7 being able to be displaced in particular in the proximal-distal direction.
  • the proximal compression band 7 can therefore be applied and fastened in particular in a lower leg section or in the area around the ankle of the patient.
  • Removable second fastening means 9 are arranged on one of the end sections 7a of the proximal compression band 7.
  • the second fastening means 9 are expediently hook parts of a Velcro fastener, which are fastened on the outside of the proximal compression band 7 in the area of one of the end sections 7a.
  • a second fastening means 9 is also arranged on the other end section 7b of the proximal compression band 7.
  • the proximal compression band 7 is then, as in Figure 2j shown, first fastened by means of the second fastening means 9 to an end section 7a on the outside of a side section 3 of the foot bandage. Then the other end section 7b of the proximal compression band 7 is also fastened to the opposite side section 2 of the foot bandage by means of the second fastening means 9.
  • the proximal compression band 7 is manually held under tension and this tension is fixed by fixing the second fastening means 9, so that the proximal compression band 7 likewise exerts a compression on the lower leg or on the patient's foot in the region of the ankle.
  • the foot bandage is shown in a top view of the patient's foot.
  • the proximal compression band 7 should also be applied such that it at least partially overlaps the side sections 2, 3.
  • the invention is not limited to the embodiment shown here in the drawing.
  • the number of pull tabs of the tab sections 4, 5 can be adapted to the size of the bandage or the anatomy of the foot.
  • each tab section 4, 5 can, for example, also comprise three or more pull tabs, and in the case of shorter bandages only one pull tab can also be sufficient.
  • the embodiment of the invention shown here with tab sections 4, 5 on both side parts 2, 3 has the advantage that the foot support can be used for both a right and a left foot.
  • the stretching characteristics of the elastic materials are variable over a wide range and can be adapted to the requirements of the compression treatment to be carried out with the bandage.
  • Velcro fasteners instead of Velcro fasteners, other fasteners can be used, e.g. Snap fasteners or hook and eye connections.

Description

Die Erfindung betrifft eine Fußbandage zur Kompressionstherapie von Lymphödemen nach dem Oberbegriff des Anspruchs 1.The invention relates to a foot bandage for compression therapy of lymphedema according to the preamble of claim 1.

Aus der WO 2005/092401 A1 (Figur 6) ist eine Fußbandage zur Kompressionstherapie von Lymphödemen bekannt. Diese umfasst ein inneres schlauch- bzw. sockenförmiges Teil aus einem elastischen Material (Baumwoll-Lycra-Gemisch) sowie drei äußere Bänder aus einem elastischen Material. Das schlauch- bzw. sockenförmige Teil weist dabei einen Sohlenabschnitt und sich einstückig seitlich daran anschließende Seitenabschnitte auf, welche bei angelegter Bandage schlauchförmig den Mittelfuß umschließen. Zur Ausübung einer Kompression auf den Fuß werden zwei der drei elastischen Bänder um den Fußrücken gewickelt und dort mittels Befestigungsmittel unter Zug festgelegt. Das dritte Band wird um den sich proximal an den Fuß anschließenden distalen Unterschenkelbereich geschlungen und dort ebenfalls unter Zug mittels Befestigungsmittel befestigt. Aufgrund der Zugspannung der Bänder wird auf den Fuß, insbesondere im Mittelfußbereich sowie auf den distalen Unterschenkelabschnitt eine Kompression ausgeübt. Durch eine solche Kompression können Lymphödeme (Flüssigkeitsansammlungen im Zwischenzellraum, die durch mechanische Insuffizienz des Lymphgefäßsystem des menschlichen oder tierischen Körpers hervorgerufen werden) behandelt werden, indem durch den von der Fußbandage ausgeübten Kompressionsdruck der Abtransport der Lymphflüssigkeit unterstützt und dadurch der Lymphstau abgebaut wird.From the WO 2005/092401 A1 (Figure 6) a foot bandage for compression therapy of lymphedema is known. This includes an inner tubular or sock-shaped part made of an elastic material (cotton-lycra mixture) and three outer bands made of an elastic material. The tubular or sock-shaped part has a sole section and one-piece laterally adjoining side sections which surround the midfoot in a tubular manner when the bandage is applied. To exert a compression on the foot, two of the three elastic bands are wrapped around the back of the foot and fixed there under tension using fasteners. The third band is wrapped around the distal lower leg area proximal to the foot and is also fastened there under tension by means of fastening means. Due to the tension of the ligaments, compression is exerted on the foot, particularly in the midfoot area and on the distal lower leg section. Such compression can treat lymphedema (fluid accumulations in the intercellular space, which are caused by mechanical insufficiency of the lymphatic system of the human or animal body), by supporting the removal of the lymph fluid by the compression pressure exerted by the foot bandage and thereby reducing the lymphatic congestion.

Die Veröffentlichungen US 5,472,414 und US 4,729,370 zeigen Fußbandagen mit einem Grundkörper, an dem ein oberer und ein unterer Laschenabschnitt mit jeweils um den Fuß bzw. oberhalb des Sprunggelenks um das Bein wickelbare Laschen sowie mit zusätzlichen Kompressionsbändern, die am Grundkörper angenäht sind und zur Erzeugung eines Zugs auf das Sprunggelenk im Bereich oberhalb des Sprunggelenks um das Bein gewickelt und mittels Klettverschlüsse, die am freien Ende des zusätzlichen Kompressionsbands angeordnet sind, auf dem Grundkörper befestigt werden können.The publications US 5,472,414 and US 4,729,370 show foot bandages with a base body on which an upper and a lower tab section with tabs that can be wrapped around the foot or above the ankle, as well as with additional compression straps that are sewn onto the base body and to generate a pull on the ankle in the area above of the ankle can be wrapped around the leg and fastened to the base body by means of Velcro fasteners, which are arranged at the free end of the additional compression band.

Die aus dem Stand der Technik bekannte Fußbandage zur Kompressionstherapie von Lymphödemen weist den Nachteil auf, dass die Anordnung der Bänder an dem schlauch- bzw. sockenförmigen Teil fest vorgegeben ist. Daher ist eine Anpassung der Fußbandage an die Anatomie des Fußes eines Patienten nicht möglich.The foot bandage known from the prior art for compression therapy of lymphedema has the disadvantage that the arrangement of the bands on the tubular or sock-shaped part is fixed. It is therefore not possible to adapt the foot support to the anatomy of a patient's foot.

Der Erfindung liegt daher die Aufgabe zugrunde, eine gattungsgemäße Fußbandage so weiterzubilden, dass eine individuelle Anpassung an die Anatomie des Fußes eines Patienten ermöglicht wird.The invention is therefore based on the object of developing a generic foot bandage such that an individual adaptation to the anatomy of the foot of a patient is made possible.

Diese Aufgabe wird mit einer Fußbandage mit den Merkmalen des Anspruchs 1 gelöst. Bevorzugte Ausführungsformen der Fußbandage sind den abhängigen Ansprüchen zu entnehmen.This object is achieved with a foot bandage with the features of claim 1. Preferred embodiments of the foot bandage can be found in the dependent claims.

Die erfindungsgemäße Fußbandage umfasst - wie die oben beschriebene Fußbandage des Stands der Technik - einen Sohlenabschnitt sowie zwei sich seitlich an den Sohlenabschnitt anschließende Seitenabschnitte sowie einen distalen Laschenabschnitt aus einem elastischen Material mit wenigstens einer Zuglasche, welche bei angelegter Bandage um den Fußrücken gewickelt und an einem der Seitenabschnitte befestigt ist, um eine Kompression auf den Fuß auszuüben. Der distale Laschenabschnitt umfasst dabei wenigstens eine Zuglasche, die auch - wie bei der bekannten Fußbandage - als elastisches Band ausgebildet sein kann, wobei an einem freien Ende der Zuglasche bzw. des Bands Befestigungsmittel angeordnet sind, mit denen die Zuglasche bzw. das Band unter Zug insbesondere an einem Seitenabschnitt befestigt werden kann. Weiterhin umfasst die erfindungsgemäße Fußbandage ein proximales Kompressionsband aus einem elastischen Material, welches über erste Befestigungsmittel verfügt und abnehmbar an den Seitenabschnitten der Fußbandage befestigbar ist. Bei angelegter Fußbandage wird das proximale Kompressionsband mittels der ersten Befestigungsmittel in einem Bereich oberhalb der Ferse lösbar an den Seitenabschnitten befestigt. Durch die lösbare Befestigung des proximalen Kompressionsbands an den Seitenabschnitten der Fußbandage in einem Bereich oberhalb der Ferse ist es möglich, das proximale Kompressionsband in Längsrichtung des Unterschenkels (in vertikaler Richtung) an unterschiedlichen Stellen eines distalen Unterschenkelabschnitts zu befestigen und dadurch die Befestigungsposition des proximalen Kompressionsbands an die Anatomie des Patienten anzupassen.The foot bandage according to the invention comprises - like the foot bandage of the prior art described above - a sole section and two side sections adjoining the side of the sole section as well as a distal tab section made of an elastic material with at least one pull tab which is wrapped around the back of the foot when the bandage is applied and on one the side portions are attached to compress the foot. The distal tab section comprises at least one pull tab, which - as in the known foot bandage - can also be designed as an elastic band, with fastening means being arranged at a free end of the pull tab or band with which the pull tab or the band is under tension can be attached in particular to a side portion. Furthermore, the foot bandage according to the invention comprises a proximal compression band made of an elastic material, which has first fastening means and can be detachably fastened to the side sections of the foot bandage. When the foot bandage is applied, the proximal compression band is detachably fastened to the side sections in an area above the heel by means of the first fastening means. By releasably attaching the proximal compression band to the side sections of the foot bandage in an area above the heel, it is possible to fasten the proximal compression band in the longitudinal direction of the lower leg (in the vertical direction) at different locations on a distal lower leg section and thereby fix the fastening position of the proximal compression band adapt the patient's anatomy.

Zur Befestigung des proximalen Kompressionsbands unter Zug an einem distalen Unterschenkelabschnitt verfügt das proximale Kompressionsband über zweite Befestigungsmittel. Diese sind zweckmäßig an wenigstens einem Endabschnitt des proximalen Kompressionsbands angeordnet. Zur Ausübung eines Kompressionsdrucks wird das proximale Kompressionsband bei angelegter Fußbandage um den distalen Unterschenkelabschnitt gewickelt und dort unter Dehnung mittels der zweiten Befestigungsmittel festgelegt. Dabei wird zweckmäßig ein Endabschnitt des proximalen Kompressionsbands über den anderen Endabschnitt des Kompressionsbands gelegt und mittels der zweiten Befestigungsmittel auf dessen Außenseite befestigt.The proximal compression band has two for fastening the proximal compression band under tension to a distal lower leg section Fasteners. These are expediently arranged on at least one end section of the proximal compression band. To exert a compression pressure, the proximal compression band is wrapped around the distal lower leg section when the foot bandage is applied, and is fixed there under stretching by means of the second fastening means. In this case, one end section of the proximal compression band is expediently placed over the other end section of the compression band and fastened to the outside thereof by means of the second fastening means.

Bei den Befestigungsmitteln der Zuglaschen des distalen Laschenabschnitts sowie den ersten und zweiten Befestigungsmitteln des proximalen Kompressionsbands handelt es sich zweckmäßig um Klettverschlüsse. Bevorzugt sind die Hakenteile der Klettverschlüsse dabei abnehmbar an Endabschnitten der jeweiligen Zuglaschen bzw. Bänder befestigt. Dies ermöglicht es, die Fußbandage sowohl für einen linken als auch für einen rechten Fuß zu verwenden.The fasteners of the pull tabs of the distal tab section and the first and second fasteners of the proximal compression band are expediently Velcro fasteners. The hook parts of the Velcro fasteners are preferably detachably attached to end sections of the respective pull tabs or bands. This makes it possible to use the foot support for both a left and a right foot.

In einer bevorzugten Ausführungsform verfügt jeder Seitenabschnitt der erfindungsgemäßen Fußbandage über einen distalen Laschenabschnitt, wobei jeder Laschenabschnitt wenigstens eine Zuglasche oder ein Band aufweist. Dies ermöglicht eine Verwendung der Fußbandage sowohl für einen rechten als auch für einen linken Fuß. Bevorzugt weist jeder Laschenabschnitt eine erste und mindestens eine zweite Zuglasche auf. Die Zuglaschen jedes Laschenabschnitts sind dabei zweckmäßig aus demselben elastischen Material wie das proximale Kompressionsband. Auch die Seitenabschnitte der Sohlenabschnitt sind bevorzugt aus demselben Material, welches bevorzugt ein elastisches Textilmaterial mit einer maximalen Dehnung im Bereich von 15 bis 50 % der ungedehnten Länge ist. Bei dem Textilmaterial kann es sich bspw. um ein Textilgewebe aus Polyamid und Elasthan handeln, insbesondere mit 87% Polyamid und 13% Elasthan, bezogen auf das Gewicht des Textilgewebes.In a preferred embodiment, each side section of the foot bandage according to the invention has a distal tab section, each tab section having at least one pull tab or a band. This enables the foot bandage to be used for both a right and a left foot. Each tab section preferably has a first and at least a second pull tab. The pull tabs of each tab section are expediently made of the same elastic material as the proximal compression band. The side sections of the sole section are also preferably made of the same material, which is preferably an elastic textile material with a maximum stretch in the range from 15 to 50% of the unstretched length. The textile material can be, for example, a textile fabric made of polyamide and elastane, in particular with 87% polyamide and 13% elastane, based on the weight of the textile fabric.

Wenn ein distaler Laschenabschnitt über mehrere Zuglaschen verfügt, sind benachbarte Zuglaschen eines Laschenabschnitts zweckmäßig durch einen Einschnitt im jeweiligen Laschenabschnitt voneinander getrennt. Dadurch ist es möglich, die Zuglaschen eines Laschenabschnitts beim Anlegen der Fußbandage winklig zueinander am gegenüberliegenden Laschenabschnitt zu befestigen. Auch dadurch kann eine Anpassung der Fußbandage an die Anatomie des Patienten erfolgen.If a distal tab section has several pull tabs, adjacent pull tabs of a tab section are expediently separated from one another by an incision in the respective tab section. This makes it possible to fasten the pull tabs of a tab section at an angle to one another on the opposite tab section when the foot bandage is put on. This also allows the foot support to be adapted to the patient's anatomy.

Weiterhin weist zweckmäßig zumindest jede Zuglasche eines der beiden distalen Laschenabschnitte ein Befestigungsmittel auf, mit dem die Zuglasche lösbar am gegenüberliegenden Seitenabschnitt bzw. dessen Laschenabschnitt befestigt werden kann. Das Befestigungsmittel kann bspw. als Hakenteil eines Klettverschlusses ausgebildet und abnehmbar an den Zuglaschen eines der beiden Laschenabschnitte angeordnet sein. Dies ermöglicht es, die Hakenteile des Klettverschlusses von den Zuglaschen des einen Laschenabschnitts zu entfernen und an den Zuglaschen des anderen Laschenabschnitts zu befestigen. Dadurch kann die Fußbandage sowohl für einen rechten als auch für einen linken Fuß verwendet werden.Furthermore, at least each pull tab of one of the two distal tab sections expediently has a fastening means with which the pull tab can be detachably attached to the opposite side section or its tab section. The fastening means can be designed, for example, as a hook part of a Velcro fastener and can be removably arranged on the pull tabs of one of the two tab sections. This makes it possible to remove the hook parts of the Velcro fastener from the pull tabs of the one tab section and to fasten them to the pull tabs of the other tab section. This means that the foot bandage can be used for both a right and a left foot.

In einem bevorzugten Ausführungsbeispiel sind die beiden Seitenabschnitte und der Sohlenabschnitt der Fußbandage durch separate Teile ausgebildet, welche miteinander befestigt, insbesondere vernäht sind. Dabei sind die Seitenabschnitte im Bereich der Ferse längs einer Vertikalnaht miteinander verbunden, wobei die Vertikalnaht bei angelegter Fußbandage im Bereich der Achillessehne zu liegen kommt. Jeder Seitenabschnitt ist ferner längs einer Horizontalnaht mit dem Sohlenabschnitt verbunden, insbesondere vernäht. Jeder Seitenabschnitt verfügt in einer bevorzugten Ausführungsform der erfindungsgemäßen Fußbandage über eine proximale und eine distale Kante, welche zweckmäßig jeweils zumindest im Wesentlichen gerade sind. Zwischen der proximalen Kante und der distalen Kante ist bei jedem Seitenabschnitt ein Laschenabschnitt angeordnet, der zweckmäßig über zwei oder mehr Zuglaschen oder Bänder verfügt. Die Verlängerungen der proximalen und der distalen Kante eines Seitenabschnitts treffen dabei bevorzugt unter einem Winkel aufeinander, der zwischen 40° und 50° und insbesondere bei 45° liegt.In a preferred embodiment, the two side sections and the sole section of the foot bandage are formed by separate parts which are fastened to one another, in particular sewn. The side sections are connected to one another along a vertical seam in the area of the heel, the vertical seam coming to lie in the area of the Achilles tendon when the foot bandage is applied. Each side section is also connected, in particular sewn, to the sole section along a horizontal seam. In a preferred embodiment of the foot bandage according to the invention, each side section has a proximal and a distal edge, which are expediently at least essentially straight in each case. At each side section, a tab section is arranged between the proximal edge and the distal edge, which advantageously has two or more pull tabs or bands. The extensions of the proximal and distal edges of a side section preferably meet at an angle that is between 40 ° and 50 ° and in particular 45 °.

Zur Erhöhung des Tragekomforts ist im Sohlenabschnitt zweckmäßig eine Polsterung eingearbeitet. Die Polsterung kann dabei insbesondere auf der Außenseite des Sohlenabschnitts aufgenäht sein.To increase comfort, padding is expediently incorporated in the sole section. The padding can in particular be sewn onto the outside of the sole section.

Diese und weitere Merkmale und Vorteile der erfindungsgemäßen Fußbandage ergeben sich aus dem nachfolgend unter Bezugnahme auf die begleitenden Zeichnungen näher beschriebenen Ausführungsbeispiel, wobei die Zeichnungen zeigen:

Figur 1:
Darstellung einer an einem Fuß angelegten Fußbandage zur Kompressionstherapie von Lymphödemen gemäß der Erfindung in einer Seitenansicht, wobei die Fußbandage ein abnehmbares proximales Kompressionsband umfasst, welches in der Darstellung von Figur 1a in geöffnetem Zustand und in der Darstellung von Figur 1b in geschlossenem Zustand gezeigt ist;
Figur 2:
Schematische Darstellung der Schritte zum Anlegen der Fußbandage von Figur 1 an einen Fuß eines Patienten.
These and further features and advantages of the foot support according to the invention result from the exemplary embodiment described in more detail below with reference to the accompanying drawings, the drawings showing:
Figure 1:
Illustration of a foot bandage applied to a foot for compression therapy of lymphedema according to the invention in a side view, the foot bandage comprising a removable proximal compression band, which in the representation of FIG Figure 1a in the open state and in the representation of Figure 1b is shown in the closed state;
Figure 2:
Schematic representation of the steps to put on the foot support from Figure 1 on a patient's foot.

Die in Figur 1 gezeigte Fußbandage umfasst einen Sohlenabschnitt 1 und sich seitlich an den Sohlenabschnitt 1 anschließende Seitenabschnitte 2, 3. Jeder Seitenabschnitt 2, 3 ist dabei zweckmäßig längs einer Horizontalnaht 11 mit dem Sohlenabschnitt 1 verbunden, insbesondere vernäht. Es ist jedoch auch möglich, den Sohlenabschnitt 1 und die sich daran anschließenden Seitenabschnitte einstückig und damit nahtlos auszubilden.In the Figure 1 The foot bandage shown comprises a sole section 1 and side sections 2, 3 adjoining the sole section 1 laterally. Each side section 2, 3 is expediently connected, in particular sewn, to the sole section 1 along a horizontal seam 11. However, it is also possible to form the sole section 1 and the adjoining side sections in one piece and thus seamlessly.

Die beiden Seitenabschnitte 2, 3 sind in einem Bereich 2a, 3a oberhalb der Ferse miteinander durch eine Vertikalnaht 10 verbunden. Bei angelegter Fußbandage verläuft die Vertikalnaht 10 in vertikaler Richtung oberhalb der Ferse im Bereich der Achillessehne des Patienten. Im Fersenbereich weist die Fußbandage eine Ausnehmung 13 auf. Bevorzugt ist im Sohlenabschnitt 1 eine Polsterung eingearbeitet, um den Tragekomfort zu erhöhen. Die Polsterung kann beispielsweise auf einer Außenseite des Sohlenabschnitts 1 aufgenäht sein.The two side sections 2, 3 are connected to one another in a region 2a, 3a above the heel by a vertical seam 10. When the foot bandage is applied, the vertical seam 10 runs in the vertical direction above the heel in the area of the patient's Achilles tendon. The foot bandage has a recess 13 in the heel area. Padding is preferably incorporated in the sole section 1 in order to increase the wearing comfort. The padding can, for example, be sewn onto an outside of the sole section 1.

Jeder Seitenabschnitt 2, 3 verfügt über eine proximale Kante 2b, 3b und eine distale Kante 2c, 3c. In jedem Seitenabschnitt 2, 3 ist zwischen der proximalen Kante 2b, 3b und der distalen Kante 2c, 3c ein Laschenabschnitt 4, 5 angeordnet. Die Verlängerungen der proximalen Kante 2b, 3b und der distalen Kante 2c, 3c treffen sich dabei unter einem Winkel zwischen 40° und 50° und bevorzugt unter einem 45°-Winkel.Each side section 2, 3 has a proximal edge 2b, 3b and a distal edge 2c, 3c. In each side section 2, 3, a tab section 4, 5 is arranged between the proximal edge 2b, 3b and the distal edge 2c, 3c. The extensions of the proximal edge 2b, 3b and the distal edge 2c, 3c meet at an angle between 40 ° and 50 ° and preferably at a 45 ° angle.

Der Sohlenabschnitt 1, die beiden Seitenabschnitte 2, 3 und jeder distale Laschenabschnitt 4, 5 sind dabei zweckmäßig aus einem elastischen Material gefertigt, beispielsweise einem elastischen Kurzzug-Textilmaterial. Zweckmäßig weist das elastische Material einen maximalen Dehnungsbereich zwischen 15 % und 50 % des ungedehnten Zustands auf. Bei dem elastischen Material kann es sich beispielsweise um ein Textilgewebe aus Polyamid und Elasthan, bspw. mit 87 % Polyamid und 13 % Elasthan, bezogen auf das Gewicht des Textilgewebes, handeln. Die maximale Dehnung des elastischen Materials liegt bevorzugt im Bereich von 15 % bis 50 % der ungedehnten Länge und besonders bevorzugt entweder zwischen 15 % und 20 % oder zwischen 25 % und 35 %.The sole section 1, the two side sections 2, 3 and each distal tab section 4, 5 are expediently made of an elastic material, for example an elastic short-stretch textile material. The elastic material expediently has a maximum stretch range between 15% and 50% of the unstretched state. The elastic material can be, for example, a textile fabric made of polyamide and elastane, for example with 87% polyamide and 13% elastane, based on the weight of the Textile fabric, act. The maximum elongation of the elastic material is preferably in the range from 15% to 50% of the unstretched length and particularly preferably either between 15% and 20% or between 25% and 35%.

Jeder distale Laschenabschnitt 4, 5 umfasst in dem zeichnerisch dargestellten Ausführungsbeispiel zwei Zuglaschen 4a, 4b bzw. 5a, 5b. Die Zuglaschen 4a, 4b bzw. 5a, 5b eines Laschenabschnitts 4, 5 sind jeweils durch einen Einschnitt 12 im jeweiligen Laschenabschnitt 4, 5 voneinander getrennt.
Zur Befestigung der Fußbandage an einem Fuß eines Patienten sind zumindest an einem der beiden distalen Laschenabschnitte 4, 5 Befestigungsmittel 6 angeordnet. Bei diesen Befestigungsmitteln 6 handelt es sich zweckmäßig um Klettverschlüsse. In dem zeichnerisch dargestellten Ausführungsbeispiel sind die Befestigungsmittel 6 jeweils abnehmbar an einem freien Ende der beiden Zuglaschen 5a, 5b des einen Laschenabschnitts 5 angeordnet.In the exemplary embodiment shown in the drawing, each distal tab section 4, 5 comprises two pull tabs 4a, 4b and 5a, 5b. The pull tabs 4a, 4b and 5a, 5b of a tab section 4, 5 are each separated from one another by an incision 12 in the respective tab section 4, 5.
To attach the foot bandage to a patient's foot, fastening means 6 are arranged at least on one of the two distal tab sections 4, 5. These fasteners 6 are expediently Velcro fasteners. In the exemplary embodiment shown in the drawing, the fastening means 6 are each removably arranged on a free end of the two pull tabs 5a, 5b of the one tab section 5.

Der sich aus dem Sohlenabschnitt 1 und den Seitenabschnitten 2 und 3 mit den distalen Laschenabschnitten 4, 5 zusammensetzende Teil der Fußbandage kann mittels der Befestigungsmittel 6 an dem Fuß eines Patienten so unter Zug befestigt werden, dass dieser Teil der Fußbandage einen Kompressionsdruck auf den Fuß ausübt. Der bei angelegter Fußbandage auf den Fuß ausgeübte Kompressionsdruck liegt - je nach eingestellter Dehnung - zweckmäßig im Bereich zwischen 8 und über 40 mmHg und kann auf Kompressionswerte bis zu 60 mmHg eingestellt werden. Die Dehnung des elastischen Materials erfolgt dabei durch manuellen Zug an den distalen Laschenabschnitten 4, 5 und wird durch die Befestigung der Befestigungsmittel 6 fixiert. Hierfür werden die distalen Laschenabschnitte 4, 5 mit den daran angeordneten Zuglaschen 4a, 5b bzw. 5a, 5b um den Fußrücken gewickelt und der distale Laschenabschnitt 5, an dessen Zuglaschen 5a, 5b die Befestigungsmittel 6 angeordnet sind, wird unter Zug mittels der Befestigungsmittel 6 auf dem gegenüberliegenden Seitenabschnitt 2 befestigt. Das Anlegen der Fußbandage an einen Fuß wird nachfolgend unter Bezugnahme auf Figur 2 noch im Einzelnen erläutert.The part of the foot bandage composed of the sole section 1 and the side sections 2 and 3 with the distal tab sections 4, 5 can be fastened to the foot of a patient by means of the fastening means 6 in such a way that this part of the foot bandage exerts a compression pressure on the foot . The compression pressure exerted on the foot when the foot bandage is applied is - depending on the set stretch - expediently in the range between 8 and over 40 mmHg and can be set to compression values up to 60 mmHg. The elastic material is stretched by manual pull on the distal tab sections 4, 5 and is fixed by fastening the fastening means 6. For this purpose, the distal tab sections 4, 5 with the pull tabs 4a, 5b and 5a, 5b arranged thereon are wrapped around the back of the foot and the distal tab section 5, on the pull tabs 5a, 5b of which the fastening means 6 are arranged, is pulled under tension by means of the fastening means 6 attached to the opposite side section 2. The application of the foot bandage to a foot is described below with reference to FIG Figure 2 explained in more detail.

Die erfindungsgemäße Fußbandage umfasst weiterhin ein abnehmbares proximales Kompressionsband 7. Dieses Kompressionsband 7 ist in der Darstellung der Figur 1 in geöffnetem Zustand und in der Darstellung der Figur 1b in geschlossenem Zustand gezeigt. Das proximale Kompressionsband 7 ist bei angelegter Fußbandage abnehmbar an den Seitenabschnitten 2, 3 befestigt. Wie der Sohlenabschnitt 1 und die Seitenabschnitte 2 und 3 mit den distalen Laschenabschnitten 4, 5 ist auch das proximale Kompressionsband 7 aus einem elastischen Material gebildet, zweckmäßig aus demselben elastischen Material wie der Sohlenabschnitt und die beiden Seitenabschnitte mit den Laschenabschnitten. Zur abnehmbaren Befestigung des proximalen Kompressionsbands 7 an den Seitenabschnitten 2, 3 verfügt das proximale Kompressionsband 7 über ein erstes Befestigungsmittel 8. Die ersten Befestigungsmittel 8 sind zweckmäßig durch ein Hakenteil eines Klettverschlusses gebildet, welches an einer Innenseite des Kompressionsbands 7 an einer zentralen Stelle befestigt, insbesondere aufgenäht ist. Das erste Befestigungsmittel 8 ist in der Darstellung der Figur 1a erkennbar. Mittels des ersten Befestigungsmittels 8 wird das proximale Kompressionsband 7 in dem Bereich 2a, 3a oberhalb der Ferse auf der Außenseite der Seitenabschnitte 2, 3 befestigt. Zur Ausübung eines Kompressionsdrucks wird das proximale Kompressionsband 7 um einen Unterschenkelabschnitt des Patienten geschlungen und dort mittels eines zweiten Befestigungsmittels 9 unter Dehnung des proximalen Kompressionsbands 7 befestigt. Das proximale Kompressionsband 7 weist dabei einen ersten Endabschnitt 7a und einen zweiten Endabschnitt 7b auf, wobei wenigstens an einem der beiden Endabschnitte 7a das zweite Befestigungsmittel 9 vorgesehen sind. Bei dem zweiten Befestigungsmittel 9 handelt es sich zweckmäßig wiederum um einen Klettverschluss und insbesondere um ein abnehmbar an dem Endabschnitt 7a befestigtes Hakenteil eines Klettverschlusses.The foot bandage according to the invention further comprises a removable proximal compression band 7. This compression band 7 is shown in FIG Figure 1 in the open state and in the representation of the Figure 1b shown in the closed state. The proximal compression band 7 is removably attached to the side sections 2, 3 when the foot bandage is applied. Like sole section 1 and side sections 2 and 3 with the distal tab sections 4, 5, the proximal compression band 7 is also formed from an elastic material, expediently from the same elastic material as the sole section and the two side sections with the tab sections. For the detachable fastening of the proximal compression band 7 to the side sections 2, 3, the proximal compression band 7 has a first fastening means 8. The first fastening means 8 are expediently formed by a hook part of a Velcro fastener, which fastens to an inner side of the compression band 7 at a central point, in particular is sewn on. The first fastening means 8 is shown in FIG Figure 1a recognizable. The proximal compression band 7 is fastened in the region 2a, 3a above the heel on the outside of the side sections 2, 3 by means of the first fastening means 8. In order to exert a compression pressure, the proximal compression band 7 is wrapped around a lower leg section of the patient and fastened there by means of a second fastening means 9 while stretching the proximal compression band 7. The proximal compression band 7 has a first end section 7a and a second end section 7b, the second fastening means 9 being provided at least on one of the two end sections 7a. The second fastening means 9 is in turn expediently a Velcro fastener and in particular a hook part of a Velcro fastener which is detachably fastened to the end section 7a.

Nachfolgend wird unter Bezugnahme auf Figur 2 das Anlegen der Fußbandage an einen Fuß eines Patienten erläutert. Hierzu wird zunächst der aus dem Sohlenabschnitt 1 und den beiden Seitenabschnitten 2 und 3 mit den distalen Laschenabschnitten 4, 5 bestehende Teil der Fußbandage am Fuß des Patienten angelegt, wie in Figur 2a dargestellt, wobei der Sohlenabschnitt 1 im Bereich der Fußsohle zu liegen kommt und die beiden Seitenabschnitte 2, 3 mit den daran angeordneten distalen Laschenabschnitten 4, 5 um den Fußrücken gewickelt werden. Die Vertikalnaht 10, durch welche die beiden Seitenabschnitte 2, 3 miteinander verbunden sind, kommt dabei im Bereich der Achillessehne zu liegen und die Vertikalnaht 10 verläuft im Wesentlichen in vertikaler Richtung. Die Ausnehmung 13 liegt im Bereich der Ferse des Patienten.The following will refer to Figure 2 the application of the foot bandage to a patient's foot is explained. For this purpose, the part of the foot bandage consisting of the sole section 1 and the two side sections 2 and 3 with the distal tab sections 4, 5 is first placed on the patient's foot, as in FIG Figure 2a shown, wherein the sole section 1 comes to rest in the area of the sole of the foot and the two side sections 2, 3 with the distal tab sections 4, 5 arranged thereon are wound around the back of the foot. The vertical seam 10, by means of which the two side sections 2, 3 are connected to one another, comes to lie in the region of the Achilles tendon and the vertical seam 10 runs essentially in the vertical direction. The recess 13 lies in the area of the patient's heel.

Durch manuellen Zug an den Zuglaschen 4a, 4b bzw. 5a, 5b der distalen Laschenabschnitte 4, 5 wird eine Kompression auf den Fuß des Patienten ausgeübt. Diese Kompression wird durch Festlegen der gezogenen Laschenabschnitte 4, 5 am jeweils gegenüberliegenden Seitenabschnitt 2, 3 fixiert. Hierfür werden die an den freien Enden der Zuglaschen 5a, 5b des einen Laschenabschnitts 5 angeordnete Befestigungsmittel 6 auf der Außenseite des gegenüberliegenden Seitenabschnitts 2 fixiert. Die Befestigungsmittel 6 sind dabei zweckmäßig abnehmbar ausgebildet. Dies ermöglicht es, die Fußbandage sowohl für einen rechten als auch einen linken Fuß einzusetzen. Das Befestigen der Befestigungsmittel 6 an den freien Enden der Zuglaschen 5a, 5b des eines distalen Laschenabschnitts 5 ist in Figur 2b gezeigt. Bei den Befestigungsmitteln 6 handelt es sich um Klettverschlüsse, deren Hakenteil mit einem Abschnitt auf der Außenseite des freien Endes der Zuglaschen 5a, 5b angeklettet werden. Ein anderer Abschnitt der Befestigungsmittel 6 bleibt dabei frei, damit dieser auf der Außenseite des gegenüberliegenden Seitenabschnitts 2 angeklettet werden kann.By manual pulling on the pull tabs 4a, 4b and 5a, 5b of the distal tab sections 4, 5, compression is exerted on the patient's foot. This compression is fixed on the opposite side section 2, 3 by fixing the pulled tab sections 4, 5. For this purpose, the at the free ends of the pull tabs 5a, 5b a tab section 5 arranged fastening means 6 fixed on the outside of the opposite side section 2. The fastening means 6 are expediently designed to be removable. This makes it possible to use the foot support for both a right and a left foot. The fastening of the fastening means 6 to the free ends of the pull tabs 5a, 5b of the one distal tab section 5 is shown in FIG Figure 2b shown. The fastening means 6 are Velcro fasteners, the hook parts of which are attached to a section on the outside of the free end of the pull tabs 5a, 5b. Another section of the fastening means 6 remains free so that it can be attached to the outside of the opposite side section 2.

Zur Fixierung der Fußbandage am Fuß wird zunächst eine erste Zuglasche 5b und danach die zweite Zuglasche 5a des einen distalen Laschenabschnitts 5 mittels der Befestigungsmittel 6 an der Außenseite des gegenüberliegenden Seitenabschnitts 2 befestigt, wie in den Figuren 2c, 2d und 2e gezeigt. Dabei wird über die Zuglaschen 5a, 5b ein Zug auf den Laschenabschnitt 5 ausgeübt, der sich auf den Seitenabschnitt 3 und den Sohlenabschnitt 1 überträgt. Durch die Festlegung der Befestigungsmittel 6 der Zuglaschen 5a, 5b an dem gegenüberliegenden Seitenabschnitt 2 wird die durch den Zug auf das elastische Material ausgeübte Dehnung fixiert, so dass eine Kompression auf den Fuß des Patienten ausgeübt wird.To fix the foot bandage on the foot, first a first pull tab 5b and then the second pull tab 5a of the one distal tab section 5 are fastened to the outside of the opposite side section 2 by means of the fastening means 6, as in FIGS Figures 2c, 2d and 2e shown. In this case, a pull is exerted on the tab section 5 via the pull tabs 5a, 5b and is transferred to the side section 3 and the sole section 1. By fixing the fastening means 6 of the pull tabs 5a, 5b to the opposite side section 2, the stretch exerted by the pull on the elastic material is fixed, so that compression is exerted on the patient's foot.

Danach wird das proximale Kompressionsband 7 im Bereich des Unterschenkels des Patienten befestigt. Hierfür wird zunächst die Innenseite des proximalen Kompressionsbands 7 mittels des ersten Befestigungsmittels 8 auf der Außenseite der Seitenabschnitte 2, 3 befestigt. Die Befestigung erfolgt dabei in dem Bereich 2a, 3a der Seitenabschnitte 2, 3, der oberhalb der Ferse liegt. Die Befestigung des proximalen Kompressionsbands 7 an den Seitenabschnitten 2, 3 über das erste Befestigungsmittel 8 ist in Figur 2f dargestellt. Die genaue Lage des proximalen Kompressionsbands 7 kann dabei den individuellen Erfordernissen der Kompressionstherapie entsprechend angepasst werden, wobei das proximale Kompressionsband 7 insbesondere in proximal-distaler Richtung verschoben werden kann. Das proximale Kompressionsband 7 kann daher insbesondere in einem Unterschenkelabschnitt oder auch in dem Bereich um das Sprunggelenk des Patienten angelegt und befestigt werden.The proximal compression band 7 is then fastened in the region of the patient's lower leg. For this purpose, the inside of the proximal compression band 7 is first attached to the outside of the side sections 2, 3 by means of the first fastening means 8. The attachment takes place in the area 2a, 3a of the side sections 2, 3, which lies above the heel. The fastening of the proximal compression band 7 to the side sections 2, 3 via the first fastening means 8 is shown in FIG Figure 2f shown. The exact position of the proximal compression band 7 can be adapted accordingly to the individual requirements of compression therapy, the proximal compression band 7 being able to be displaced in particular in the proximal-distal direction. The proximal compression band 7 can therefore be applied and fastened in particular in a lower leg section or in the area around the ankle of the patient.

Zum Festlegen des proximalen Kompressionsbands 7 an einer gewünschten Stelle am Unterschenkel bzw. am Sprunggelenk des Patienten werden zunächst, wie in Figur 2g gezeigt, an einem der Endabschnitte 7a des proximalen Kompressionsbands 7 abnehmbare zweite Befestigungsmittel 9 angeordnet. Bei den zweiten Befestigungsmitteln 9 handelt es sich zweckmäßig um Hakenteile eines Klettverschlusses, welche auf der Außenseite des proximalen Kompressionsbands 7 im Bereich eines der Endabschnitte 7a festgeklettet werden. Zweckmäßig wird, wie in Figur 2h gezeigt, auch an dem anderen Endabschnitt 7b des proximalen Kompressionsbands 7 ein zweites Befestigungsmittel 9 angeordnet. Das proximale Kompressionsband 7 wird danach, wie in Figur 2j gezeigt, mittels der zweiten Befestigungsmittel 9 zunächst an einem Endabschnitt 7a auf der Außenseite eines Seitenabschnitts 3 der Fußbandage befestigt. Danach wird auch der andere Endabschnitt 7b des proximalen Kompressionsbands 7 an dem gegenüberliegenden Seitenabschnitt 2 der Fußbandage mittels der zweiten Befestigungsmittel 9 befestigt. Dabei wird das proximale Kompressionsband 7 manuell unter Zug gehalten und dieser Zug wird durch Festlegen der zweiten Befestigungsmittel 9 fixiert, so dass das proximale Kompressionsband 7 ebenfalls eine Kompression auf den Unterschenkel oder auf den Fuß des Patienten im Bereich des Sprunggelenks ausübt. In Figur 2k ist die angelegte Fußbandage in einer Draufsicht auf den Fuß des Patienten gezeigt.To fix the proximal compression band 7 at a desired location on the lower leg or ankle of the patient, first, as in Figure 2g shown, Removable second fastening means 9 are arranged on one of the end sections 7a of the proximal compression band 7. The second fastening means 9 are expediently hook parts of a Velcro fastener, which are fastened on the outside of the proximal compression band 7 in the area of one of the end sections 7a. As in Figure 2h shown, a second fastening means 9 is also arranged on the other end section 7b of the proximal compression band 7. The proximal compression band 7 is then, as in Figure 2j shown, first fastened by means of the second fastening means 9 to an end section 7a on the outside of a side section 3 of the foot bandage. Then the other end section 7b of the proximal compression band 7 is also fastened to the opposite side section 2 of the foot bandage by means of the second fastening means 9. The proximal compression band 7 is manually held under tension and this tension is fixed by fixing the second fastening means 9, so that the proximal compression band 7 likewise exerts a compression on the lower leg or on the patient's foot in the region of the ankle. In Figure 2k the foot bandage is shown in a top view of the patient's foot.

Beim Befestigen der Laschenabschnitte 4, 5 an dem jeweils gegenüberliegenden Seitenabschnitt 3 bzw. 2 ist darauf zu achten, dass der Fuß des Patienten vollständig von den Seitenabschnitt 2 und 3 und den Laschenabschnitten 4, 5 umgriffen wird, so dass keine freien Stellen entstehen, durch die Körpergewebe durchquellen könnte. In entsprechender Weise sollte auch das proximale Kompressionsband 7 so angelegt werden, dass es zumindest teilweise mit den Seitenabschnitten 2, 3 überlappt.When attaching the tab sections 4, 5 to the respectively opposite side section 3 or 2, care must be taken that the patient's foot is completely encompassed by the side sections 2 and 3 and the tab sections 4, 5, so that no free spaces arise the body tissues could swell. In a corresponding manner, the proximal compression band 7 should also be applied such that it at least partially overlaps the side sections 2, 3.

Die Erfindung ist nicht auf die hier zeichnerisch dargestellte Ausführungsform beschränkt. So kann beispielsweise die Anzahl der Zuglaschen der Laschenabschnitte 4, 5 an die Größe der Bandage bzw. die Anatomie des Fußes angepasst werden. Bei längeren Bandagen kann jeder Laschenabschnitt 4, 5 bspw. auch drei oder mehr Zuglaschen umfassen und bei kürzeren Bandagen kann auch nur eine Zuglasche ausreichend sein. Weiterhin ist es ausreichend, wenn nur an einem der beiden Seitenteile 2, 3 ein Laschenabschnitt mit wenigstens einer Zuglasche angeordnet ist. Die hier dargestellte Ausführungsform der Erfindung mit Laschenabschnitten 4, 5 an beiden Seitenteilen 2, 3 weist jedoch den Vorteil auf, dass die Fußbandage sowohl für einen rechten als auch für einen linken Fuß verwendet werden kann.The invention is not limited to the embodiment shown here in the drawing. For example, the number of pull tabs of the tab sections 4, 5 can be adapted to the size of the bandage or the anatomy of the foot. In the case of longer bandages, each tab section 4, 5 can, for example, also comprise three or more pull tabs, and in the case of shorter bandages only one pull tab can also be sufficient. Furthermore, it is sufficient if only one tab section with at least one pull tab is arranged on one of the two side parts 2, 3. However, the embodiment of the invention shown here with tab sections 4, 5 on both side parts 2, 3 has the advantage that the foot support can be used for both a right and a left foot.

Die Dehnungscharakteristik der elastischen Materialen ist in weiten Bereichen variabel und kann den Erfordernissen der mit der Bandage durchzuführenden Kompressionsbehandlung angepasst werden. Weiterhin können statt Klettverschlüssen andere Befestigungsmittel zum Einsatz kommen, wie z.B. Druckknöpfe oder Haken- und Ösen-Verbindungen.The stretching characteristics of the elastic materials are variable over a wide range and can be adapted to the requirements of the compression treatment to be carried out with the bandage. Furthermore, instead of Velcro fasteners, other fasteners can be used, e.g. Snap fasteners or hook and eye connections.

Claims (15)

  1. Foot bandage for compression treatment of lymphedemas on the foot, having a sole section (1), side sections (2, 3) laterally adjoining the sole section (1) which are joined to one another at least in a section (2a, 3a) coming to rest above the heel when the foot bandage is applied, and at least one distal strap section (4, 5) made of an elastic material which can be wound around the instep and is attachable to a side section (2, 3) in order to exert a compression on the foot, wherein the or each distal strap section (4, 5) has at least one pull strap (4a, 4b; 5a, 5b), on which attachment means (6) are arranged, characterised by a proximal compression band (7) made of an elastic material which is attachable to the side sections (2, 3) to be removable, wherein the compression band (7) has first attachment means (8) and when the foot bandage is applied, is attached to the side sections (2, 3) by means of the first attachment means (8) in the region (2a, 3a) above the heel.
  2. Foot bandage according to claim 1, characterised in that the proximal compression band (7) has a first end section (7a) and a second end section (7b) as well as at least second attachment means (9) arranged on one of the end sections (7a, 7b) and when the foot bandage is applied, is wound around a distal lower leg section and fixed there with stretching by means of the second attachment means (9).
  3. Foot bandage according to claim 1 or 2, characterised in that each side section (2, 3) has a distal strap section (4, 5).
  4. Foot bandage according to claim 3, characterised in that each distal strap section (4, 5) has a first pull strap (4a, 5a) and at least one second pull strap (4b, 5b).
  5. Foot bandage according to claim 4, characterised in that an attachment means (6) for releasable attachment of the respective pull strap (4a, 4b) to the strap section (5) and in particular of a pull strap (5a, 5b) of the opposite side section (3) is arranged on each pull strap (4a, 4b; 5a, 5b) of the first strap section (4).
  6. Foot bandage according to claim 1 or 4, characterised in that the attachment means (6) are arranged to be releasable on the respective distal strap section (4, 5) and in particular to be releasable on the pull straps (4a, 4b; 5a, 5b) of the respective strap section (4, 5).
  7. Foot bandage according to one of claims 4 to 6, characterised in that adjacent pull straps (4a, 4b; 5a, 5b) of a distal strap section (4; 5) are separated from one another by an indentation (12) in the respective strap section (4; 5).
  8. Foot bandage according to one of the preceding claims, characterised in that the side sections (2, 3) are made of the same elastic material as the distal strap sections (4, 5).
  9. Foot bandage according to one of the preceding claims, characterised in that the or each distal strap section (4, 5) is joined in one piece to one of the side sections (2, 3).
  10. Foot bandage according to one of the preceding claims, characterised in that the side sections (2, 3) are joined to one another along a vertical seam (10), wherein the vertical seam (10) runs in the region of the Achilles tendon when the foot bandage is applied and/or in that each side section (2, 3) is joined to the sole section (1) along a horizontal seam (11).
  11. Foot bandage according to one of the preceding claims, characterised in that each side section (2, 3) has a proximal edge (2b, 3b) and a distal edge (2c, 3c) and in that a strap section (4, 5) is arranged respectively between the proximal edge (2b, 3b) and the distal edge (2c, 3c).
  12. Foot bandage according to claim 14, characterised in that the extensions of the proximal edge (2b, 3b) and of the distal edge (2c, 3c) of each side section (2, 3) meet at an angle of 40° to 50° and in particular at a 45° angle.
  13. Foot bandage according to one of the preceding claims, characterised in that a recess (13) is provided in the heel region and/or in that padding is incorporated in the sole section (1), in particular sewn on an outer side of the sole section (1).
  14. Foot bandage according to one of the preceding claims, characterised in that the attachment means (6, 8, 9) are respectively Velcro closures, wherein the hook part of the Velcro closures are attached to the pull straps (4a, 4b; 5a, 5b) of the distal strap sections or to the proximal compression band (7) preferably to be removable.
  15. Foot bandage according to one of the preceding claims, characterised in that the proximal compression band (7) is attachable by means of the first attachment means (8) in the region of the section (2a, 3a) above the heel in vertical direction at different points on the side sections (2, 3) and when the foot bandage is applied, is attached in particular in the region of a vertical seam (10), which joins the two side sections (2, 3) to one another, to be releasable on the outer side of the two side sections (2, 3).
EP17156392.7A 2016-02-23 2017-02-16 Foot bandage for compression therapy of lymphedema Active EP3210581B1 (en)

Applications Claiming Priority (1)

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DE202016100937.5U DE202016100937U1 (en) 2016-02-23 2016-02-23 Foot bandage for the compression therapy of lymphedema

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EP3210581B1 true EP3210581B1 (en) 2020-08-05

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USD877482S1 (en) * 2017-01-30 2020-03-10 Owlet Baby Care, Inc. Infant sock
CH716197A1 (en) * 2019-05-16 2020-11-30 Laedi Ortho Ag Association.

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CA2954487A1 (en) 2017-08-23
CA2954487C (en) 2019-08-06
US20170239098A1 (en) 2017-08-24
EP3210581A1 (en) 2017-08-30

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